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ABSTRACT: It is not uncommon for dermatologists to utilize compounded drug formulations to address specific patient needs that cannot be met using commercially available drugs

By doing this, the vitamins bypass the digestive system
[DOI] [PubMed] [Google Scholar] 160

Pieper emphasized that currently available over-the-counter NAD+ precursors have been shown in animal models to raise cellular NAD+ to dangerously high levels that promote cancer. This conclusion extrapolates beyond the published findings and lacks support from human clinical evidence
